International Federation of Gynecology and Obstetrics

 FIGO Committee on Perinatal Health

SIMPLIFIED ICD-10 coding

Clinical diagnosis

ICD 10

code

Clinical diagnosis

ICD 10 code

Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium

Pre-existing (chronic) hypertension

O10.9

Pre-eclampsia

 (BP ³ 140/90)

-   Moderate pre-eclampsia

O14.0

Pre-existing (chronic) hypertension with

O11.9

(BP ³ 140/90 and

 superimposed proteinuria

    proteinuria ³ 0.3g/24 h)

Oedema and proteinuria

-   Severe pre-eclampsia     

O14.1

-     Oedema (demanding treatment)

O12.0

( BP ³ 160/110 or

-     Proteinuria (³ 0.3g/24 h)

O12.1

    proteinuria ³ 0.3g/24h)

-     Oedema with proteinuria

O12.2

-   Pre-eclampsia unspecified

O14.9

-     Gestational hypertension

O13.X

-   Eclampsia

O15.9

Other maternal disorders predominantly related to pregnancy

Haemorrhage in early pregnancy

O20.9

Multiple gestation

    (< 22 weeks)

-     Twin pregnancy

O30.0

Hyperemesis gravidarum

-     Triplet pregnancy

O30.1

-     Mild

O21.0

Malpresentation

-     Severe (demanding treatment in

O21.1

-     Unstable lie

O32.0

   hospital)

-     Breech presentation

O32.1

Venous complications

-     Transverse amd oblique lie

O32.2

-     Varicose veins of lower extremity

O22.0

-     Face, brow and chin presentation

O32.3

-     Genital varices vein

O22.1

-     High head at term

O32.4

-     Deep-vein thrombosis

O22.3

-     Multiple gestation with malpresentation

O32.5

-     Haemorrhoids

O22.4

   of one fetus or more

Urinary tract infection

-     Compound presentation

O32.6

-     Kidney

O23.0

Disproportion (known or suspected)

O33.9

-     Bladder

O23.1

Previous Caesarean section

O34.2

-     genital tract infection

O23.5

Cervical incompetence

O34.3

Diabetes mellitus

Abnormalities of pelvic organs

O34.9

-  Diabetes mellitus, insulin-dependent

O24.0

Fetal abnormality and damage

O35.9

-  Diabetes mellitus, non-insulin-dependent

O24.1

Rhesus isoimmunization

O36.0

-     Gestational diabetes mellitus

O24.4

Hydrops fetalis

O36.2

Malnutrition

O25.X

Fetal hypoxia

O36.3

Excessive weight gain (leading to any action)

O26.0

Intrauterine death (³ 22 weeks)

O36.4

Low weight gain (< 5 kg)

O26.1

Poor fetal growth

O36.5

Herpes gestationis

O26.4

Excessive fetal growth

O36.6

Supine hypotensive syndrome

O26.5

Polyhydramnios

O40.X

Liver disorders

O26.6

Oligohydramnios

O41.0

Subluxation of symphysis (pubis)

O26.7

Chorioamnionitis

O41.1

Abnormal laboratory findings

Premature rupture of membranes

-     Abnormal haematological finding

O28.0

-     Onset of labour within 24 hours

O42.0

-     Abnormal biochemical finding

O28.1

-     Onset of labour after 24 hours

O42.1

-     Abnormal cytological finding

O28.2

  -   Unspecified

O42.9

-     Abnormal ultrasonic finding

O28.3

Placenta previa without hemorrhage

O44.0

-     Abnormal radiological finding

O28.4

Placenta previa with hemorrhage

O44.1

-     Abnormal chromosomal and genetic

O28.5

Abruptio placentae with coagulation defect

O45.0

finding

Abruptio placentae

O45.9

 Other abnormal findings

O28.8

Other antepartum hemorrhage

O46.8

False labour

O47.9

Post-term (³ 42 weeks)

O48.X

Complications of labour and delivery

Preterm delivery (up to 36+6 weeks)

Abnormalities of forces of labour

-     Failure of cervical dilatation

(< 1 cm/h in the active phase of labour)

-     Arrested active phase of labour

(no progress during 2 h after initially

normal progress

O60.X

O62.0 O62.1

  -   Precipitate labour

(for nulliparae < 1 h from 3 cm to delivery

for multiparae < 0.5 h from 3 cm to

delivery)

Hypertonic uterine contractions

Please turn over

O62.3

O62.4

Complications of labour and delivery – continued

Long labour

- Second degree (involving as in O70.0 plus

O70.1

-     Prolonged first stage

O63.0

   pelvic floor, perineal muscle, vaginal muscle

(for nulliparae > 15 h from 3 cm to fully

-  Third degree (involving as in O70.1 plus

O70.2

dilated, for multiparae > 11 h)

O63.1

    anal sphincter, rectovaginal septum)

Prolonged second stage

-  Fourth degree (involving as in O70.2 plus

O70.3

( > 2 h from full dilated to delivery)

    anal mucosa, rectal mucosa)

Obstructed labour

Other obstetric trauma

-     due to malposition or malpresentation

O64.9

-     Rupture of uterus before onset of labour

O71.0

-     due to fetopelvic disproportion

O65.4

-     Rupture of uterus during labour

O71.1

-     due to maternal pelvic abnormality

O65.9

-     Uterine inversion

O71.2

 -    due to shoulder dystocia

O66.0

-     Laceration of cervix

O71.3

Failed forceps or vacuum extraction

O66.5

-     Pelvic hematoma

O71.7

Intrapartum haemorrhage

O67.9

Postpartum haemorrhage

-     with coagulation defect

O67.0

-     due to retained placenta

O72.0

Meconium in amniotic fluid

O68.1

-     due to other causes

O72.1

Fetal distress

O68.9

Retained placenta without hemorrhage

O73.0

Prolapsed cord

O69.0

Anesthetic complications

O74.9

Vasa praevia

O69.4

Other complications of labour and delivery,

O75.9

Perineal laceration

not elsewhere classified

-  First degree (involving fourchette, labia,

O70.0

skin, vagina, vulva)

Delivery

Spontaneous vertex delivery

O80.0

-     Emergency

O82.1

Spontaneous breech delivery

O80.1

-     Caesarean hysterectomy

O82.2

Spontaneous delivery, unspecified

O80.9

-     Unspecified

O82.9

Low forceps delivery

O81.0

Breech extraction

O83.0

Mid  cavity forceps delivery

O81.1

Breech assisting

O83.1

Mid cavity forceps with rotation

O81.2

Multiple delivery, all spontaneous

O84.0

Other and unspecified forceps delivery

O81.3

Multiple delivery, all by forceps and

O84.1

Vacuum extractor delivery

O81.4

vacuum extractor

Combination of forceps and vacuum extractor

O81.5

Multiple delivery, all by Caesarean section

O84.2

Caesarean section

Other multiple delivery

O84.8

-     Elective

O82.O

Multiple delivery, unspecified

O84.9

Complications predominantly related to the puerperium

Puerperal sepsis

O85.X

Disruption of perineal obstetric wound

O90.1

Wound infection

O86.0

Haematoma

O90.2

Deep phlebothrombosis

O87.1

Breast infection

Haemorrhoids

O87.2

-     nipple infection

O91.0

Obstetric air embolism

O88.1

-     breast abscess

O91.1

Disruption of caesarean section wound

O90.0

Other obstetric conditions

Maternal death

O95.X

Other sexually transmitted diseases

O98.3

Tuberculosis

O98.0

Viral hepatitis

O98.4

Syphilis

O98.1

Malaria

O98.6

Gonorrhoea

O98.2

HIV/AIDS

Z21.X

Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Anaemia

O99.0

Diseases of the circulatory system

O99.4

Disease of blood and immune mechanism

O99.1

Diseases of the respiratory system

O99.5

Endocrine, nutritional and metabolic diseases

O99.2

Diseases of the digestive system

O99.6

Mental disorders and diseases of the nervous

O99.3

Diseases of the skin and subcutaneous tissue

O99.7

system